Author: Peter E. Papa Petros
Publisher: Springer Science & Business Media
ISBN: 3662054450
Category : Medical
Languages : en
Pages : 244
Get Book Here
Book Description
The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials created scar tissue led to the hypothesis that a plastic tape inserted in the position of the pubourethrallig ament, would leave behind sufficient scar tissue to reinforce that ligament, which would then anchor the muscles for urethral closure. In September 1986, two prototype Intravaginal Sling operations were per formed. A Mersilene tape was inserted with neither tension nor elevation, in the position of the pubourethral ligament. Restoration of continence was immediate and both patients were discharged on the day following surgery without require ment for catheterization. There was minimal pain, and immediate restoration of continence. After six weeks the tapes were removed. Both patients were still conti nent at last review 10 years later. The results appeared to confirm the importance of a midurethral anchoring point.
Author: Lennox Hoyte
Publisher: Academic Press
ISBN: 0128032294
Category : Science
Languages : en
Pages : 470
Get Book Here
Book Description
Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women’s health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists. Contains contributions from leading bioengineers and clinicians, and provides a cohesive multidisciplinary view of the field Covers causes, risk factors, and optimal treatment for pelvic floor biomechanics Combines anatomy, imaging, tissue characteristics, and computational modeling development in relation to pelvic floor biomechanics
Author: Kari Bø
Publisher: Elsevier Health Sciences
ISBN: 0702060739
Category : Medical
Languages : en
Pages : 449
Get Book Here
Book Description
Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies innovative practice guidelines supported by a sound evidence base colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor incorporates vital new research and material uses key summary boxes throughout new edition to highlight quick reference points now in full colour throughout and a hardback format
Author: Bernhard Schüssler
Publisher: Springer Science & Business Media
ISBN: 1447135695
Category : Medical
Languages : en
Pages : 378
Get Book Here
Book Description
Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction.
Author: G. Willy Davila
Publisher: Springer Science & Business Media
ISBN: 184800348X
Category : Medical
Languages : en
Pages : 366
Get Book Here
Book Description
All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic ?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation,collaboration,and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic ?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic ?oor is subsumed in these larger ?elds of study. When they combine their focus on the pelvic ?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic ?oor syndromes such as incontinence and pelvic organ prolapse.
Author: Peter E. Papa Petros
Publisher: Springer Science & Business Media
ISBN: 3642037879
Category : Medical
Languages : en
Pages : 330
Get Book Here
Book Description
"...This represents a new refreshing and logical approach to the whole anatomy and function of the pelvic floor. The Integral Theory over the years has been debated and discussed at various scientific meetings but this is the first time that the Theory has been condensed into an exciting and readable format with excellent illustrations and diagrams. I think it is an important publication which has been long overdue..." Comment on first edition from a prominent British urogynaecologist In this 3rd edition, multimedia in the accompanying DVD is used to more fully explain how lax suspensory ligaments may cause multiple pelvic floor dysfunctions, how to diagnose which structures are causing the problem, and how to perform ‘simulated’ or ‘virtual’ operations. New insights into the pathogenesis of pelvic organ prolapse, pelvic pain, vulvodynia and interstitial cystitis are presented. The tensioned minisling as used for cystocoele, uterine prolapse, rectocoele, stress incontinence and other symptoms is described in the book and demonstrated in the DVD.
Author: Farzeen Firoozi
Publisher: Springer Nature
ISBN: 3030283194
Category : Medical
Languages : en
Pages : 367
Get Book Here
Book Description
The fully updated edition of this text provides a state-of-the-art surgical review of female pelvic surgery, and will serve as a valuable resource for clinicians and surgeons dealing with, and interested in the treatment of pelvic floor disorders. The book reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders, including stress urinary incontinence, transvaginal prolapse, transabdominal sacrocolpopexy, robotic/laparoscopic sacrocolpopexy, vaginal and vulvar cysts, and interstitial cystitis/bladder pain syndrome. In addition to step-by-step descriptions, the text is augmented with illustrations and photographs of surgical techniques demonstrating the major repairs described in each section. Written by experts in their fields, the second edition of Female Pelvic Surgery provides a concise and comprehensive review of all surgical approaches to female pelvic surgery.
Author: Anna Padoa
Publisher: Springer
ISBN: 3319221507
Category : Medical
Languages : en
Pages : 350
Get Book Here
Book Description
This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.
Author: Peter E. Papa Petros
Publisher: Springer Science & Business Media
ISBN: 3540336648
Category : Medical
Languages : en
Pages : 279
Get Book Here
Book Description
I f rst encountered the Integral T eory system in the early 1990’s at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that I adopted it immediately. Subsequently, based on my experiences, I wrote the following in the Medical Journal of Australia in October 1994: (the operations) promise a new era for women, virtually pain-free cure of prolapse and incontinence without catheters, and return to normal activities within days. Now, ten years later, more than 500,000 ‘tension-free’ anterior or posterior sling operations have been performed. One case in particular stands out from those early years. A woman patient in her mid-50’s came to see me with a f ve year history of urinary retention which required an indwelling catheter. T is woman had consulted more than a dozen medical specialists who had told her the same story: no cure was possible. Using the Structured Assessment of the Integral T eory it was deduced that she had a posterior zone defect. I performed a Posterior IVS. T e next day the patient was voiding spontaneously with low residuals, and she has remained well since.
Author: Vladimir Egorov
Publisher: Elsevier
ISBN: 0323851614
Category : Science
Languages : en
Pages : 394
Get Book Here
Book Description
The female pelvic floor includes the muscles, ligaments, connective tissues and nerves that support the uterus, bladder, vagina and rectum. It is a complex system which may have multiple diseased conditions related to changes in biomechanical conditions of pelvic tissues and structures. Among them are highly prevalent pelvic organ prolapse, urinary incontinence and tissue atrophy. Biomechanical Mapping of the Female Pelvic Floor explores new technological advances in women's healthcare intended to improve pelvic floor characterization, diagnosis and prediction of treatment outcomes. By discussing different technologies used on the biomechanical characterization of pelvic floor, it describes the anatomy, physiology, musculoskeletal, and tissue characteristics of the pelvic floor tissues, and explores how to detect conditions that may lead to problems such as spontaneous preterm delivery and childbirth trauma, providing insight into ways to reduce childbirth related injury and Pelvic floor disorders (PFDs). This book is a valuable resource for researchers focused on gynecology, urogynecology or obstetrics, clinicians, graduate students and biomedical scientists and bioengineers who need to understand more the technological advances on biomechanical characterization and how they can be used not only for diagnosis but also for monitoring several OBGYN-related conditions. Discusses the most recent advances in the field of biomechanical characterization of soft tissues, including different applications of tactile imaging and other pelvic floor assessment techniques, such as Electromyography (EMG) and Ultrasound Explores new diagnostic devices and techniques, mathematical models and simulations to address preoperative assessment and prediction of pelvic surgery outcomes and delivery Presents review of the results of multiple clinical studies with the biomechanical mapping of human tissues and organs to provide comprehensive information on the subject and determine the future directions in the field
